Individual provider Active NPI

Christopher G Montellese, DC

  • Chiropractor
  • Monterey, CA
National Provider Identifier
1093757122
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30412 Issued in CA
Practice address
550 Camino El Estero
Suite 103
Monterey, CA 93940-3231
Phone
(831) 655-3255
Fax
(831) 655-3443
NPI assigned
Jun 12, 2006
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30412 CA Primary

Addresses

Primary practice location

550 Camino El Estero
Suite 103
Monterey, CA 93940-3231

Mailing address

PO Box 2695
Monterey, CA 93942-2695
Phone (831) 655-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000384 CA Practitioner - Chiropractic 3870596083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Montellese Family Chiropractic, Inc.Group PAC ID 6305997438, 2 clinicians

Practice addresses (Care Compare)

550 Camino El Estero
Suite 103
Monterey, CA 93940-3231
Phone (831) 655-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30412CAMDPhysical Therapy Assistant
011176NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montellese Chiropractic, P.C. Chiropractor Current Accepting new patients
SRN Chiropractic, PC Chiropractor Past Accepting new patients
White Medical, PC Past Accepting new patients

Locations

550 Camino El Estero
Ste 103
Monterey, CA 93940
Phone (831) 655-3255

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1093757122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2695",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939422695",
            "telephone_number": "831-655-3255",
            "fax_number": "831-655-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CAMINO EL ESTERO",
            "address_2": "SUITE 103",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403231",
            "telephone_number": "831-655-3255",
            "fax_number": "831-655-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELLESE",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.